A study of birth preparedness of women in Jamnagar district, Gujarat, India

Authors

  • Khyati A. Nimavat Department of Community Medicine, GMERS Medical College, Junagadh, Gujarat, India
  • Abha D. Mangal Junior Consultant, Department of Community Health, St. Stephen’s Hospital, New Delhi, India
  • Sumit V. Unadkat Department of Community Medicine, Shri M.P. Shah Medical College, Jamnagar, Gujarat, India
  • Sudha B. Yadav Department of Community Medicine, Shri M.P. Shah Medical College, Jamnagar, Gujarat, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20162889

Keywords:

Birth preparedness, Pregnant women, Maternal mortality rate

Abstract

Background: About 800 women die every day from preventable causes related to pregnancy and child birth globally. Birth-preparedness is a strategy developed by the maternal and neonatal health programme of JHPIEGO for addressing the three main delays at various stakeholder levels. Present study is an attempt to assess the level of birth preparedness of pregnant women in rural area of Jamnagar district and various factors associated with it.

Methods: It was a cross-sectional study conducted during October 2011 to March 2012. Total live births in a year 2011 were 39943.90 and Taking 1% of total births ≈ 400, Adding 10% of non-response rate, total sample size was 440. Total 450 study subjects were chosen. The study-subjects were divided in 1) current pregnant women and 2) recent delivered women. A pretested semi-structured questionnaire was used to interview women, chosen for the study using multistage random sampling technique and data was analysed by Epi Info.

Results: It was found that only about one third of women i.e. 32.2% were prepared for birth and 67.8% women were not prepared. Out of 450 women, it was found that 86.2% of them planned for the skilled birth attendant, 59.6% women planned for saving money, about one third of women i.e. 37.6% had planned for transportation and only 2.7% women had planned for blood donor in case of emergency. Religion Hindu, literacy of women and their husbands, higher socio-economic status, advice given during pregnancy were some positive factors associated with birth preparedness.

Conclusions: The level of birth preparedness in study subjects was found very low. Sincere efforts are required to identify this gap and reducing the same. 

References

World Health Organization. Maternal mortality/ fact sheet. Available at http: //www.who.int /mediacenter/ factsheets/fs348/en/ index.html. Accessed on 12 July 2012.

Millenium Development Goals. [Online] United Nations (UN). Available at: http: //www.un.org/ millenniumgoals/maternal.html. Accessed on 12 October 2012.

Starrs A. The safe motherhood action agenda: Priorities for next decade. report on safe motherhood technichal consultation,18-23 October (1994). Colombo: Family Care international, 1997.

Thaddeus S, Maine D. Too far to walk: Maternal mortality in context. Social Sci Med. 1994;38(8):1091-110.

The white ribbon alliance for safe motherhood saving mothers’ lives;what works Field Guide for Implementing Best Practices in Safe Motherhood/India Best Practices Sub-committee. 2002.

JHPIEGO. Monitoring birth preparedness and complication readiness: tools and indicators for maternal and newborn health. BaltimoreMD: JHPIEGO. 2004;1-19.

JHPIEGO. Maternal and Neonatal Health Programme. Birth Preparedness and Complication Readiness: A Matrix of Shared Responsibilities. Baltimore, MD. JHPIEGO. 2001:12.

Mcpherson RA, Khadka N, Moore JM, Sharma M. Are birth-preparedness progammes effective? Results from a field trial in Siraha district, Nepal. J Health Popul Nutr. 2006;24(4):479-88.

Moran AC, Sangli G, Dineen R, Rawlins B, Yameogo M, Baya B. Birth-preparedness for maternal health findings from Koupela District, Burkina Faso. J Health Popul Nutr. 2006;24(4):489-97.

Hailu M, Gebremariam A, Alemseged F, Deribe K. Birth preparedness and complication readiness among pregnant women in Southern Ethiopia. PLos ONE. 2011;6(6):21-2.

Kabakyenga JK, Osyergen PO, Tiryakira E, Pettersson KO. Influence of birth preparedness, decision-making on location of birth and assistance by skilled birth attendants among women in South-Western Uganda. PLoS ONE.2012;7(4):35747.

Agarwal S, Shethi V, Srivastava K, Jha PK, Baqui AH. Birth preparedness and complication readiness among slum women in Indore City, India. J Health Popul Nutr. 2012;28:383-91.

Census of India. Ministry of home affairs, Government of India. 2011. Available at: URL: http:// www.censusindia.gov.in/2011-prov-results/paper2/census2011_paper2.html. Accessed on 10 July 2012.

Lal S, Adarsh, Pankaj. Population Stabilization: High Fertility-Mortality; Text book of community medicine. 3rd edition. New Delhi: CBS Publishers and Distributers Pvt. Ltd.; 2011; 73-111

JHPIEGO. India country profile. Available at http: //www.jhpiego.org/wp- content/uploads/2010/jhpiego-india.pdf. Accessed on 15/9/2012.

Hiluf M, Fantahun M. Birth preparedness and complication readiness among women in Adigrat town, north Ethiopia. Ethiop J Health Dev. 2007;22(1):14-20.

Kabakyenga JK, Ostergren PO, Turyakira E, Pettersson KO. Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda. Reproductive Health. 2011;8(33):1-10.

Kushwah SS, Dubey D, Singh G, Shivdasani JP, Adhish V, Nandan D. Status of birth preparedness and complication readiness in Rewa district of Madhya Pradesh. Indian J Public Health. 2009;53(3):128-32.

Mutiso SM, Qureshi Z, Kinuthia J. Birth preparedness among antenatal clients. East African Med J. 2008;85(6).

Downloads

Published

2016-12-24

How to Cite

Nimavat, K. A., Mangal, A. D., Unadkat, S. V., & Yadav, S. B. (2016). A study of birth preparedness of women in Jamnagar district, Gujarat, India. International Journal Of Community Medicine And Public Health, 3(9), 2403–2408. https://doi.org/10.18203/2394-6040.ijcmph20162889

Issue

Section

Original Research Articles